MDC-Dental Hygiene- patients with special needs

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addison's Disease

Hypocortisl secretion by the adrenal gland is

addison's disaese

symptoms: skin pigmentations, weakness and fatigue, headache, nausea and/or vomiting, low threshold for stress, abnormally low bp, altered level of consciusness, susceptibility to infections, rapid heart and respiratory rates

addisons disease

maintain a nonstressful atmosphere in the dental setting

addisons disease

just keep in mind that a patient with ________ disease can gie an emergency injection of hydrocortisone in times of stress

hypercortisolism (cushing's syndrome)

An overproduction of cortisol by the adrenal glands

cushing syndrome

symptoms: weight gain, fatty tissue deposits in the face creating a "moon" face, buffalo hump, large abdomen, excess sweating, thin and easily bruised skin, and purple pigmentation on the trunk and legs

cushing syndrome

its important to provide oral hygiene instruction for the miantaince of healthy tissue with people experencing?

ADHD

charecterized by improper behavior and/or failure to pay attention, with deficits in learning.

ADHD

it is estimated that 3-5% of the population has this disorder

ADHD

etiology: possbly smoking or alcohol-use during pregnancy. Other causes include high levels of lead exposure, brain injury, refined sugar, food additives, or genetics

ADHD

symptoms: inattentivess, hyperactivity, impulsiveness, and possible learning disablity

Alcohol-related problems

alchololics can develop _____________ as a result of insufficient intrinsic factor in the stomach. plus they are at high risk for cancer

alcohol related problems

craving for alcohol. And in cases where an alcholoic suddenly stops drinking, nausea, shakiness and anxiety.

alcohol related problems

oral manifestations: xerostomia, glossitis, PD, and possible poor oral hygiene

alcohol relate problesm

you may need to perform SRP to return tissues to health. diet consulting is needd to help the patient realize he is at rish for pernicious anemia. Place the patient on a frequent recall basis and recomment noalcoholic mouthwashes

alzheimer's disease

a severe disorder that brings about the gradual loss of brain cells. Over time, the patient memory and ability to learn are wiped out?

alzheimer's disease

xerostomia, angular cheillitis, glossitis, loss of taste, root caries or PD

oral care for alzheimers diseas

advise the care giver about oral hygiene for the patient. The patient may need an adapted handle on a manual brush or a power. Nightly fluoride rinses or pastes may help control root caries. Xerostomia may be relieved with saliva subsitutes such as biotine

osteoarthritis

the most common type of arthritis in the US

osteoarthritis

starts with the breakdown of the cartilage in joints, causing pain and stiffness.

rheumatoid arthritis

an inflammation of the lining of the joints

rheumatoid arthritis

due to autoimmune disease when the body attacks healthy joint tissue, and might also be due to genetics and environmental factors

osteoarthritis

symptoms: swelling, stiffness, and pain occur in the joints with possible crepitus

rheumatoid arthritis

symptoms: stiffness and joint swelling, warmth and tenderness

arthritis

patients may require an adapted handle on a manua brush or power. A floss holder may help the patient with flossing

autism

a neurological disorder that results in developmental disabilities. It occure with in the 1st 3 years of life, more prevalent in boys

AUTISM

patient have trouble with verbal and nonverbal communication, social interactions and play activities.

asperger syndrome

a high functioning autism, where the patient seems of normal intelligence and communicates well, but has autistic characteristics

Autism

symptoms: repetitive routines, speech difficulties, preference for being alone, lack of eye contract, abnormal attachment to things, learning disabilities, spinning of objects, no fear of danger

Autism

instruct the caregiver in OH, keeping in mind that the patient may be uncooperative. Nutritional couseling may revel that the child has a diet high in sugar set up a reward system for good behavior. during the dental appointment, provide repetitive encounters in a quite atmosphere.

Bells palsy

an ideopathic, unilateral facial muscle paralysis affecting the facial or 7th crainal nerve.

Bell's palsy

most patient recover in 3 weeks or up to 6 months, though some experience permanent paralysis

bells palsy

possibly a viral infection, where a laten virus travels along the sensory nerves, though more recent research suspects the herpes simplex virus.

bell's palsy

this can possible occur after a tooth extraction or parotid gland surgery

bells palsy

unilateral facial paralysis, drooling, loss of turgor and inability to close the eye on the side affected

bells palsy

inadequate oral care on the affected side, causing tissue inflammation and/or carious lesion

bells palsy

focus on home care techmiques and adjunts for better plaque removal

anemias

indicates a drop in oxygen-carrying hemoglobin in red blood cells

aplastic anemia

the failure of the bone marrow to produce enough red and white blood cells and platelets

iron def -anemia

pale gingiva and mucosa, angular cheilitis and painful glossitis.

pernicious anemia

burning glossitis, and bleeded gingiva

anemia

focus on good oral hygiene, since any gingival disease may cause an abnormal amount of bleeding?

hemophilia

a genetic disorder that affects men with hemophilia A and B that is carried by females in their X chromosomes

VIII ........IX

hemophilia A lacks factor _____ clotting factor while hemophilia B(christmas disease) lacks factor ____

hemophillia

brusing with ease, blood in the urine (hematura), bleeding intojoint with swelling, intracranial bleeding without injurt, backache or paralysis due to bleeding into the spinal colum, and frequent nosebleeds.

hemophilia

ecchymosis, hematoma or prolonged bleeding with dental procedure

homophilia

screening for clotting factors. home care should include oral hygiene instruction to maintain healthy soft tissues so that bleeding gingiva is prevented

sickle cell disease

palor of the oral tissues, with liver involovment, jaundice, delayed tooth eruption and tooth hypoplasia

sickle cell disease

oral care consideration: use local without epi

down syndrome

a mental retardation disorder where the person had prominent physical fatures and limited intelligence potential

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